Director of Care Coordination & Utilization Review

bannerhealth; Phoenix (AZ); On-site; USD 120,000 - 160,000; Full time

Job summary

Banner Health’s Behavioral Health Utilization Review Department seeks a Director to lead a centralized team optimizing patient care through strategic utilization review. Open to an experienced RN or Social Worker with leadership and utilization review background; offers onboarding with peer mentor and collaborative culture.

Location: Banner Estrella Medical Center in Phoenix. Exempt role, Mon-Fri with on-call rotation across facilities.

Qualifications

• RN requires a BSN; licensure in the state.
• Social Worker requires MSW and LMSW or LCSW.
• Three years acute experience with age-specific population.
• Three years progressive leadership experience.

Responsibilities

• Develop and implement care and utilization management programs.
• Provide leadership and direction for Care Coordination Services.
• Direct data analysis and reporting on utilization patterns.
• Oversee recruiting, hiring, budgeting, and staff development.
• Collaborate with external stakeholders to ensure reimbursement.

Skills

Leadership

Utilization Review

Case Management

Strategic Thinking

Education

BSN in Nursing

MSW or LMSW/LCSW

Job description

Banner Health’s Behavioral Health Utilization Review Department seeks a Director to lead a centralized team optimizing patient care through strategic utilization review. Open to an experienced RN or Social Worker with leadership and utilization review background; offers onboarding with peer mentor and collaborative culture.

Location: Banner Estrella Medical Center in Phoenix. Exempt role, Mon-Fri with on-call rotation across facilities.